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Dustin Breitwieser, MA
Mental Health Counselor in Dallas, Oregon
NPI 1366596595

Dustin Breitwieser is a Mental Health Counselor based in Salem, OR and is specialized in Mental Health. Dustin Breitwieser practices in Dallas, OR and has the professional credentials of MA. The NPI Number for Dustin Breitwieser is 1366596595 and holds a License No. (Oregon).

The current practice location address for Dustin Breitwieser is 182 Sw Academy St, Dallas, OR and can be reached out via phone at 503-623-9289.

Location: 182 Sw Academy St, Dallas, OR, 97302-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366596595
Provider Name
Dustin Breitwieser
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
182 Sw Academy St, Dallas, OR, 97302-1718
Phone Number
503-623-9289
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1922
Phone Number
503-623-9289
Fax Number
person
Provider Business Mailing Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1922
Phone Number
503-623-9289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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